Lisa Grossenbacher, LCSW | |
1603 E 19th St Ste 105, Edmond, OK 73013-6563 | |
(405) 568-1950 | |
Not Available |
Full Name | Lisa Grossenbacher |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1603 E 19th St Ste 105, Edmond, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013157510 | NPI | - | NPPES |
200362310A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 4276 (Oklahoma) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lisa Grossenbacher, LCSW 1603 E 19th St Ste 105, Edmond, OK 73013-6563 Ph: (405) 568-1950 | Lisa Grossenbacher, LCSW 1603 E 19th St Ste 105, Edmond, OK 73013-6563 Ph: (405) 568-1950 |
News Archive
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